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学科主题: 泌尿外科学
题名:
环切人路和耻骨上入路隐匿阴茎矫正术疗效比较
其他题名: Comparison of the circumferential approach and suprapubic approach for correcting concealed penis
作者: 彭靖; 张志超; 袁亦铭; 宋卫东; 吴意光; 高冰; 辛钟成; 金杰
关键词: 阴茎疾病 ; 外科手术,选择性 ; Penile diseases ; Surgical procedures,elective
刊名: 中华泌尿外科杂志
发表日期: 2009
DOI: 10.3760/cma.j.issn.1000-6702.2009.08.019
卷: 30, 期:8, 页:559-561
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 比较环切入路和耻骨上入路术式矫正隐匿阴茎的疗效.方法 隐匿阴茎患者33例,随机接受环切人路(18例)或耻骨上入路(15例)手术.比较手术前后阴茎疲软时长度、患者满意度和术后并发症发生率.33例随访至少6个月.结果 环切入路组患者手术前后阴茎平均长度分别为(1.78±0.41)和(3.974±0.47)cm,差异有统计学意义(P<0.01),患者对手术效果满意度83%(15例);耻骨上入路组患者手术前后阴茎平均长度分别为(2.07±0.53)和(4.05±0.81)em,差异有统计学意义(P<0.01),患者对手术效果满意度87%(13例).2组患者阴茎长度增加差异无统计学意义(P>0.05).环切入路组术后出现包皮水肿10例(56%),耻骨上入路组2例(13%),均于3个月内消退;耻骨上入路组切口出现脂肪液化2例(13%).结论 环切入路和耻骨上入路术式矫正隐匿阴茎的效果相近,患者对疗效满意度较好,环切入路术式简单. Objective To compare the circumferential approach and suprapubic approach for correcting the concealed penis. Methods Thirty-four patients received circumferential approach (group A,18 cases)or suprapubic approach(group B,15 cases)randomly for the concealed penis.The length of penis without erection before and after surgery treatment,patients'satisfaction and surgical complications were evaluated.All the patients were followed at least 6 months after operation.Results The penile length before and after surgery in group A were(1.78±0.41)cm vs(3.97±0.47)cm,the length of the postoperative penis was significantly longer than that of the preoperative penis(P<0.01).83%of those in group A(15 cases)were satisfied with the cosmic results.The length of preoperative and postoperative penis in group B were(2.07±0.53)cm vs(4.05±0.81)cm respectively,the length of the postoperative penis was significantly longer(P<0.01).Satisfaction was 87%(13 cases).The postoperative penile length between the 2 groups was not different(P> 0.05).Prepuce edema was reported to Occur in 56%and 13%in group A and group B and spontaneously disappeared within 3 months.Fat synchysis occurred in 2 of group B. Conclusions The cosmic effect of the 2 surgical approaches is similar,but circumferential approach is simpler.There is no serious complication in those receiving circumferential approach.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/45364
Appears in Collections:北京大学第一临床医学院_泌尿外科_期刊论文

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作者单位: 北京大学第一医院北京大学泌尿外科研究所男科中心,100009

Recommended Citation:
彭靖,张志超,袁亦铭,等. 环切人路和耻骨上入路隐匿阴茎矫正术疗效比较[J]. 中华泌尿外科杂志,2009,30(8):559-561.
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